Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.50 / $6,541.00 / $13,413.92	Facility		$681.50	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.20 / $1,144.35 / $1,155.83	Professional		$222.20	$1,144.35	$1,155.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.25 / $742.85 / $1,067.74	Professional		$566.25	$742.85	$1,067.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.20 / $1,144.35 / $1,618.18	Facility		$222.20	$1,144.35	$1,618.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.20 / $744.30 / $1,501.14	Professional		$616.20	$744.30	$1,501.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $841.25 / $1,156.00 / $1,465.20	Professional		$841.25	$1,156.00	$1,465.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $233.86 / $1,144.35 / $1,618.18	Facility		$233.86	$1,144.35	$1,618.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $470.40 / $1,135.75 / $1,465.20	Professional		$470.40	$1,135.75	$1,465.20
United Facility/Professional Professional Modifier Low / Median / High Price $596.70 / $1,044.23 / $1,312.74	Professional		$596.70	$1,044.23	$1,312.74